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12,967 Nursing Homes With a Clean Inspection Record in the United States

12,967 of the 14,697 Medicare-certified nursing homes in the United States (88%) are clean-record, and all are listed below. 2616 of the 12930 graded homes earn an A and 368 earn a D or F. Nurse staff turnover runs 45.2%, 0.6 points lower than the 45.8% across all homes there. Mclean Health Center in Simsbury grades highest at A (100 out of 100).

How clean-record homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

3.9

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

45.2%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

75.5/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

2,616 grade A, 6,700 grade B, 3,246 grade C, 368 grade D,

The best-graded clean-record home in the United States is Mclean Health Center in Simsbury, CT — grade A, 100/100.

Every clean-record nursing home in the United States

Showing 2181–2200 of 12,967, best-graded first.

A

86/100

Snu Armstrong Co Memorial Hosp

Kittanning, PA · Armstrong County

CMS 3/5 17 beds Non-profit
Nurse hours
8.65 /day
Staff turnover
20%
Serious cites
0

Nurse staffing here runs at 8.65 hours per resident day, well over twice the national average of 3.86, and weekends dip only about 7% below weekdays, so coverage stays fairly steady. Annual turnover sits at 20% against a national 45.8%, which means the people caring for residents tend to stick around. The current record shows 21 deficiencies with none at the harm or jeopardy level, though one is abuse-related. Inspectors were last in on July 9, 2025. The catch is in the quality measures, which sit at the bottom of CMS's scale even as staffing earns top marks, a split worth asking the administrator about directly.

A

86/100

Rehab At Shannondell

Audubon, PA · Montgomery County

CMS 4/5 120 beds For-profit
Nurse hours
4.12 /day
Staff turnover
40%
Serious cites
0

Rehab At Shannondell runs 120 certified beds in Audubon under corporate for-profit ownership, and the numbers behind its grade are mostly steady rather than spectacular. Nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average, though weekends run about 9% thinner than weekdays, a dip worth asking about if your family visits mainly on Saturdays or Sundays. Turnover is 40.3%, better than the 45.8% national figure but still meaning two in five caregivers left within the year. The current record shows 11 deficiencies, none at harm or jeopardy level, but 2 are abuse-related, which is the detail to press the administrator on directly. Its last inspection was April 28, 2026.

A

86/100

Pennsylvania Soldiers And Sailors Home

Erie, PA · Erie County

CMS 5/5 107 beds Government Medicaid
Nurse hours
5.83 /day
Staff turnover
35%
Serious cites
0

The Pennsylvania Soldiers and Sailors Home in Erie is a state-run veterans' home with 107 certified beds, and the staffing numbers are the first thing that stands out: 5.83 nurse hours per resident day against a national average of 3.86. That's about half again the typical home, and turnover sits at 35.2% versus 45.8% nationally, meaning workers tend to stay longer here than at most places. Weekend coverage dips roughly 14% below its own weekday levels, which is worth asking about if your family visits Saturday or Sunday. The ten deficiencies on the current record include two tied to abuse, though none rose to the harm or jeopardy level. A March 2026 inspection, a four-star health inspection, and a two-star quality measure score round out a mixed but generally steady picture.

A

86/100

Hattie Ide Chaffee Home

East Providence, RI · Providence County

CMS 4/5 69 beds Non-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at Hattie Ide Chaffee Home runs 5.39 hours per resident day, roughly 40% above the national average, and weekends hold within about 10% of weekday coverage, a gap that trips up many homes. Staff turnover sits at 34.7%, better than the 45.8% national figure, so the people caring for residents tend to stay. The tradeoff shows up in the inspection record: 19 deficiencies, one serious enough to reach harm or jeopardy level, and a $40,295 fine. That combination, strong daily staffing, thinner safety and compliance results, is what pulls the score down despite the five-star staffing rating.

A

86/100

Cedar Crest Nursing Centre Inc

Cranston, RI · Providence County

CMS 5/5 156 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
27%
Serious cites
0

Cedar Crest runs a 156-bed for-profit operation in Cranston, and the staffing numbers are the strongest part of the picture: 4.10 nurse hours per resident day, roughly 6% above the national average, with a 5/5 CMS staffing star. Turnover sits at 27%, well under the 45.8% national figure, so the people caring for residents tend to stick around. Weekend coverage dips about 9% below weekday levels, which is worth asking about. The inspection record is where it gets complicated, 22 deficiencies, including one at the harm level and two tied to abuse, plus a $14,433 fine. The most recent inspection was September 2025, so the record is current.

A

86/100

White Oak Manor - Columbia

Columbia, SC · Richland County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
29%
Serious cites
0

White Oak Manor in Columbia runs 120 beds under corporate for-profit ownership, and its nurse staffing sits about 5% under the national average at 3.65 hours per resident day. Weekends dip roughly 12% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 29% against a national 45.8% means aides and nurses tend to stick around, so your mother likely sees familiar faces. The inspection record shows nine deficiencies, one serious enough to reach harm or jeopardy level, plus a single $8,788 fine. Quality measures score well; the last inspection was November 2025.

A

86/100

Saluda Nursing Center

Saluda, SC · Saluda County

CMS 3/5 176 beds Government Medicaid
Nurse hours
4.49 /day
Staff turnover
18%
Serious cites
0

Saluda Nursing Center runs a county-owned home of 176 beds, and its staffing is the strongest part of the picture, 4.49 nurse hours per resident day, about 16% above the national average, with a 5/5 staffing rating. Turnover sits at 17.9%, well below the 45.8% national figure, which matters for consistency of care. Weekend coverage dips roughly 11% below weekday levels, worth asking about. The concern is inspections: a 1/5 health inspection rating, 10 deficiencies on record including 2 at harm or jeopardy level and 2 abuse-related, plus $16,984 in fines. The most recent inspection was April 2025. Quality measures land at 3/5. Staffing is genuinely good here; the inspection record is the real question.

A

86/100

The Palms At Florence

Florence, SC · Florence County

CMS 2/5 163 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
35%
Serious cites
0

The Palms at Florence runs a 163-bed for-profit operation, and its staffing sits slightly above the national average at 3.95 nurse hours per resident day. That edge is real but thin, weekends drop roughly 15% below the home's own weekday coverage, so the care you'd see on a Saturday won't quite match a Tuesday. Turnover is where it separates itself: 34.5% compared with a national 45.8%, which suggests a more stable crew than most. The inspection record is solid, a 4-star health inspection in April 2025, 10 deficiencies total, one serious enough to reach harm level, no abuse findings, and a single $7,901 fine. Nothing here reads as a red flag, though that one harm-level citation is worth asking about directly.

A

86/100

Rosecrest Rehabilitation And Healthcare Center

Inman, SC · Spartanburg County

CMS 5/5 75 beds Non-profit
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Rosecrest runs about 4.41 nurse hours per resident per day, roughly 14% above the national average, though weekend coverage dips about 14% below its own weekday level, worth asking about if your family visits or calls mainly on Saturdays and Sundays. Staff turnover sits at 40%, better than the 45.8% national figure, which suggests people tend to stay. Its current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, alongside a five-star health inspection rating, and the most recent inspection was in April 2026. Church-affiliated nonprofit ownership rounds out a picture of a home that looks steady rather than flashy.

A

86/100

Nhc Healthcare - Charleston

Charleston, SC · Charleston County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
32%
Serious cites
0

Nhc Healthcare - Charleston runs leaner on inspection problems than its one-star health inspection rating might suggest at first glance, nine deficiencies on record, only one serious enough to cause harm, and none tied to abuse. Where it stands out is staffing: 5.09 nurse hours per resident day, roughly a third more than the national average, with turnover at 32.4% against a national 45.8%. That's a workforce that stays put more than most. The catch is weekends, when coverage drops about 11% below the home's own weekday pace. A for-profit LLC with 88 beds, inspected most recently in April 2026.

A

86/100

Bowdle Nursing Home

Bowdle, SD · Edmunds County

CMS 4/5 27 beds Government Medicaid
Nurse hours
3.80 /day
Staff turnover
35%
Serious cites
0

Bowdle Nursing Home is city-owned, and that shows in its stability. Staff turnover runs 34.8%, well under the 45.8% national average, a big deal in a 27-bed home, where losing even a few aides can unsettle care. The nursing hours come in just slightly under the national average, and weekends dip about 9% below weekdays, so ask how coverage holds up on Saturdays and Sundays. Its last inspection was July 2025, and the five deficiencies on record include none tied to harm or abuse. Four stars on inspections and staffing, three on quality measures, solid footing, with room to ask questions.

A

86/100

Menno-Olivet Care Center

Menno, SD · Hutchinson County

CMS 5/5 41 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
36%
Serious cites
0

Menno-Olivet runs on a nonprofit model with 41 certified beds, and the staffing numbers stand out: 4.40 nurse hours per resident day, roughly 14% above the national average, with a 5/5 staffing rating to match. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 35.7%, better than the 45.8% national figure, so the people caring for residents tend to stick around. The inspection record is strong, a 5/5 rating with six deficiencies total, though one reached harm or jeopardy level. The weaker spot is quality measures at 2/5, so ask what specifically drives that score.

A

86/100

Sd Human Services Center - Geriatric Program

Yankton, SD · Yankton County

CMS 5/5 69 beds Government Medicaid
Nurse hours
8.62 /day
Staff turnover
37%
Serious cites
0

Nurse staffing at the Yankton state-run home runs 8.62 hours per resident day, more than double the national figure of 3.86, and weekends dip only about 13% below its own weekday level, a smaller drop than many homes see. Annual turnover sits at 37.4%, better than the 45.8% national average. Inspectors visited recently, in June 2025, and found five deficiencies, none causing harm or jeopardy, though one is abuse-related. The 2/5 quality measure rating is the number to ask about on your next call.

A

86/100

White River Health Care Center

White River, SD · Mellette County

CMS 5/5 52 beds Non-profit Medicaid
Nurse hours
5.48 /day
Staff turnover
48%
Serious cites
0

White River Health Care Center runs on unusually heavy staffing, 5.48 nurse hours per resident day, roughly 42% above the national average, and it shows in the federal stars, with 5s for staffing and health inspections and a 4 for quality measures. The catch is consistency: weekend coverage drops about 15% below the home's own weekday level, and turnover sits at 47.8%, slightly worse than the 45.8% national figure. Its three deficiencies include one at the harm level and one tied to abuse, with a single $6,168 fine. The most recent inspection was March 27, 2025. Nonprofit ownership and strong weekday staffing are real strengths; the harm-level finding is the piece worth asking about directly.

A

86/100

The Health Center At Richland Place

Nashville, TN · Davidson County

CMS 3/5 107 beds Non-profit
Nurse hours
4.34 /day
Staff turnover
42%
Serious cites
0

The Health Center At Richland Place is a 107-bed nonprofit home in Nashville with staffing that beats the national average, 4.34 nurse hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Annual turnover sits at 42.1%, a bit better than the 45.8% national figure. The trouble shows up in inspections: 19 deficiencies on the current record, five at harm or jeopardy level and one abuse-related, with a $56,378 fine and a two-star health inspection rating. Quality measures score five stars, but that reflects resident care metrics, not how well the building has been kept in compliance.

A

86/100

Covington Post Acute

Covington, TN · Tipton County

CMS 4/5 98 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
39%
Serious cites
0

Covington Post Acute runs on more nursing attention than most homes get. At 4.62 nurse hours per resident day, it's about 20 percent above the national average of 3.86, and the weekend dip, roughly 13 percent below its own weekday level, is real but not steep enough to erase that cushion. Staff turnover sits at 38.7 percent, better than the 45.8 percent national figure, though still meaning more than a third of the workforce turns over each year. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the last survey in March 2026. Three four-star ratings, health inspections, quality measures, staffing, back up the numbers. Corporate ownership doesn't change what the data shows.

A

86/100

Nhc Healthcare, Farragut

Knoxville, TN · Knox County

CMS 5/5 106 beds For-profit
Nurse hours
4.15 /day
Staff turnover
46%
Serious cites
0

Nhc Healthcare, Farragut sits in Knoxville with 106 certified beds and a for-profit corporate owner. The inspection history is the strong part: a recent survey in February 2026, 14 deficiencies on record, and none of them tied to harm, jeopardy, or abuse. Quality measures also score well. Staffing is where this home separates from the pack in the wrong direction, a one-star staffing rating, meaning nurse hours per resident fall well below what CMS expects. Turnover runs 46.2%, just above the national average of 45.8%, so the people who do show up don't tend to stay long. A clean inspection record doesn't fix thin coverage on the floor, especially when aides and nurses are cycling through.

A

86/100

Towne Square Care Of Puryear

Puryear, TN · Henry County

CMS 2/5 32 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
23%
Serious cites
0

Towne Square Care of Puryear runs 32 certified beds in Henry County under corporate for-profit ownership, and its staffing numbers tell two different stories. Total nurse coverage sits at 4.29 hours per resident day, about 11% above the national average, but weekends run roughly 34% below its own weekday level, so the weekday floor is better staffed than the weekend one. Staff turnover is the standout: 22.7% annually, well under the national 45.8%, which suggests people stay. The tradeoff is a record of 16 deficiencies with no harm-level findings, though one is abuse-related, and a 3/5 inspection rating against a 4/5 on quality measures. That mix, steady staff, thinner weekends, a documented abuse citation, is what a family should weigh.

A

86/100

Shannondale Of Maryville Health Care Center

Maryville, TN · Blount County

CMS 5/5 44 beds Non-profit
Nurse hours
4.46 /day
Staff turnover
57%
Serious cites
0

Shannondale of Maryville is a 44-bed nonprofit home run by a church, and the staffing numbers are its strongest feature: 4.46 nurse hours per resident day, roughly 16% above the national average. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your visits will fall on Saturdays or Sundays. The tradeoff is retention, 57.4% annual turnover runs well above the 45.8% national figure, so aides and nurses cycle through faster than average. On the inspection side, six deficiencies appear on the current record with none at the harm level, but two are abuse-related, a small number that still deserves a direct question.

A

86/100

Nhc Place At The Trace

Nashville, TN · Davidson County

CMS 5/5 90 beds For-profit
Nurse hours
4.08 /day
Staff turnover
55%
Serious cites
0

Nhc Place At The Trace runs 4.08 nurse hours per resident day, about 6% above the national average, though weekend coverage drops roughly 10% below its own weekday level. Staff turnover sits at 54.5%, nearly nine points above the national figure, which matters because new aides cycle through quickly. The current record shows 14 deficiencies, none rising to harm or jeopardy and none abuse-related, and the last inspection was February 2025. Quality measures score well, inspections land in the middle, and staffing holds up on paper. It's a for-profit limited liability company with 90 beds. The numbers describe a stable home with a churn problem worth asking about directly.

Frequently asked questions

How many clean-record nursing homes are there in the United States?
There are 12,967 clean-record Medicare-certified nursing homes in the United States, 88% of the 14,697 nursing homes there.
Are clean-record nursing homes better staffed?
In the United States they average 3.9 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.04 hours. Staff turnover averages 45.2% against 45.8%.
Which clean-record nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT — grade A, 100 out of 100.
Does being clean-record mean a nursing home is safe?
No. Of the 12,930 graded clean-record homes in the United States, 2,616 grade A and 368 grade D or F.
Do clean-record nursing homes in the United States accept Medicaid?
12,438 of the 12,967 are certified to accept Medicaid. See Medicaid and nursing homes.

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